Rhythm Disorder

Rhythm disturbance is one of the most common diseases of the heart.

A normal heart beats between 60-100 beats per minute. When the normal working order of the heart is disturbed, rhythm disorder (arrhythmia) occurs. Arrhythmia is a condition in which the heart beats too fast, too slowly, irregularly, or stuttering. There are many types of rhythm disorders. Some rhythm disorders are congenital, some develop as a result of damage caused by heart diseases.

Our heart works like a pump and sends 5 liters of blood per minute to the body and beats about 100 thousand times a day, and 3 billion times until we die. This work of the heart is provided by an electrical system. The heart has an excellent electrical system, and very thin nerves like a spider’s web transmit this electricity to all parts of the heart, ensuring regular functioning of the heart.

This electrical system is damaged in various heart diseases and a group of diseases called rhythm disorders occur. Rhythm disorders can occur due to problems in the heart, or they can occur due to external factors.

The most common symptom of arrhythmia is palpitation. The most common symptoms after palpitations are dizziness and fainting. Fainting usually indicates a serious rhythm disorder and should not be neglected. It can result in sudden death in those with serious heart problems. Rhythm disturbances that slow down the heart cause weakness, fatigue and fainting. In accelerating rhythm disorders, the heart rate can reach 200-250, causing a feeling of badness and some sudden death. Sudden death in coronary artery occlusion or during a heart attack usually occurs as a result of rapid rhythm disturbance. Treatment to be applied in heart rhythm disorder; It is determined depending on the type and severity of the rhythm disorder.

Until recently, the treatment of rhythm disorder was only done with drugs and it was partially effective. A full recovery could not be achieved. In patients with low heart rate, the heart rate was brought to normal by inserting a pacemaker.

Today, the treatment of rhythm disorder is very advanced. It is possible to determine the source of the rhythm disorder and to make the definitive treatment with the methods we call electrophysiological study (EPS) and ablation.

EPS: It is a diagnostic method that provides the diagnosis and determination of heart rhythm disorders. It is a procedure similar to cardiac angiography but different from angiography in many ways. It is done by entering the inguinal veins. Special wires, called catheters, are sent into the heart. It is possible to detect the cause and source of arrhythmia using special devices.

When any problem is detected in the heart with EPS, the second stage of EPS is ablation. Catheter ablation is an application in which some rhythm disorders detected during EPS are definitively treated. In addition to EPS, an additional catheter is used and the arrhythmia focus is cleared and definitive treatment is provided.

During ablation, either burning therapy (hot ablation) or freezing therapy (cold ablation) is used to eliminate the focus causing arrhythmia. The most commonly used method is RF catheter ablation (hot ablation). In this method, using a special system, the target area is heated between 50-70 degrees, making it incapable of conducting electricity. The other method is freezing (Cryoablation). With this method, the target area is frozen up to -50 to -70 degrees. Both processes have differences with respect to each other.

The greatest effect of the ablation procedure is the complete recovery of the patient. The procedure is performed by entering only through the groin and the patient is discharged the next day at the latest. There are no surgical scars. Another effect is that it saves the patient from the necessity of taking lifelong drug treatment.

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